Healthcare Credentialing Jobs in Connecticut

Job ID 21000JSKAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Medicaid business partners, including: Contracting, Credentialing, Referral/Authorizations, Claims, Grievance and Appeals, ... a Bachelor's degree in Business,..

Job ID 21000M0KAvailable Openings 1Position Specific Information Must have LMSW LCSW preferred, but not required PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home ..

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..

... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..

Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Senior Professional, Medicaid Network Strategy will be accountable for supporting the development of Humana Healthy Horizon's (Medicaid) network and provider strategy for its growth markets. This strategist will provide ..

Job Information Humana Strategy Advisor, Healthcare Strategy in Bridgeport Connecticut Description ... Connecticut Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..

Job Information Humana Supervisor, Credentialing in Bridgeport Connecticut Description Responsibilities ... Connecticut Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising ... years of experience in provider credentialing and/or..

Job ID 21000M9FAvailable Openings 2Description Lend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and your career. ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

nu00a0nClinical excellence. Strong relationships. Competitive compensation.nu00a0nAtu00a0Gaylord Hospital, itu2019s possible.nu00a0nOUTPATIENT PHYSICAL THERAPISTnu00a0nWe currently have a full-time career opportunity for a Physical Therapist in our outpatient Orthopedics and Sports Medicine Clinic in North ..

Job Information Humana Manager, Credentialing in Bridgeport Connecticut Description Responsibilities ... a team of certification and credentialing professionals that to ensure required ... contract requirements. Work collaboratively with credentialing leaders..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

ADDITIONAL LOCATION(S):  N/A   DIVERSITY - INNOVATION - CARING - GLOBAL COLLABORATION - WINNING SPIRIT- HIGH PERFORMANCE At Boston Scientific, we'll give you the opportunity to harness all that's within you by ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

FT Faculty/Clinical Coordinator, Radiography AS Program, College of Health Professions Category: Faculty Subscribe: Department: Health Science [HSC] Locations: Fairfield, CT Posted: Mar 2, 2023 Closes: Open Until Filled Type: Full-time Position ..